Can I Safely Walk with a Pneumatic Ankle Brace After Fibula Fracture?

Two and a half months after a fibula fracture, a pneumatic full-shell ankle brace is being used?

Hello, Doctor.
I apologize for bothering you.
I have a distal fibula fracture near the ankle that has been healing for two and a half months.
The cast has been removed, and recent X-rays show some displacement of the bone.
I did not have surgery, and my recovery period is over, so I need to return to work.
I would like to know if it is safe to walk to work without crutches while wearing this pneumatic ankle brace: https://seller.pcstore.com.tw/S153069346/C1155890615.htm.
Will I be able to walk after putting on this brace? Is there a risk of long-term complications? Or, even with the brace, should I still avoid walking? Thank you, Doctor.

yang, 40~49 year old female. Ask Date: 2020/09/20

Dr. Shi Guozheng reply Orthopedics

The fracture has been stabilized with a cast for about two and a half months and is nearly healed, so you can try walking to see if it causes any pain.
If there is no pain, you may not need to wear the brace anymore.

Reply Date: 2020/09/20

More Info

After a fibula fracture, particularly one located near the ankle, the recovery process can be complex and requires careful consideration of both the healing of the bone and the stability of the ankle joint. Given that you are two and a half months post-injury and have recently had an X-ray that shows some displacement, it is crucial to approach your return to walking with caution.

Wearing a pneumatic ankle brace, such as the one you referenced, can provide significant support and stability to the injured area. These braces are designed to immobilize the ankle while allowing for some degree of movement, which can be beneficial during the healing process. The pneumatic feature allows for adjustable compression, which can help reduce swelling and provide additional support. However, whether you can safely walk without crutches while wearing this brace depends on several factors:
1. Bone Healing: At two and a half months, the fibula may still be in the process of healing. While some fractures can heal within six to eight weeks, others may take longer, especially if there has been any displacement. It is essential to ensure that the fracture is stable enough to bear weight. If the X-ray shows displacement, this may indicate that the fracture has not healed adequately, and putting weight on it could exacerbate the injury.

2. Pain and Swelling: If you are experiencing pain or swelling, this may be a sign that the fracture is not yet ready for full weight-bearing activities. Pain during movement is a signal from your body that you may need to take it easy. If the brace alleviates pain and provides stability, it may be a good option to try walking, but you should do so cautiously.

3. Consulting Your Doctor: It is crucial to follow up with your healthcare provider regarding your ability to walk without crutches. They can provide personalized advice based on your specific situation, including the condition of your fracture and the results of your recent X-ray. They may also recommend a gradual increase in weight-bearing activities, starting with partial weight-bearing and progressing as tolerated.

4. Potential for Complications: Walking too soon or without adequate support can lead to complications such as delayed healing, malunion (improper healing), or even re-fracture. Additionally, if the ankle is not stable, you risk falls or further injury.

5. Rehabilitation: If you are cleared to walk, consider incorporating rehabilitation exercises to strengthen the muscles around the ankle and improve range of motion. This can help prevent future injuries and improve overall function.

In summary, while a pneumatic ankle brace can provide support and may allow you to walk, it is essential to ensure that your fibula has healed sufficiently and that you are not experiencing significant pain or instability. Always consult with your healthcare provider before making decisions about returning to weight-bearing activities, especially in the context of a recent fracture. They will be able to provide the most accurate guidance based on your individual healing progress.

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